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NPI Code Detail

MEDICARE: CITY OF SALEM

MEDICARE: CITY OF SALEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance241105OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1590009956OTHERORRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033112594
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF SALEM
Provider Business Mailing Address
First Line : 2790 25TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-1108
Country : US
Telephone Number : 503-588-6271
Fax Number : 503-588-6202
Provider Business Practice Location Address
First Line : 2742 25TH ST SE
Second Line :
City : SALEM
State : OR
Zip : 97302-1108
Country : US
Telephone Number : 503-588-6271
Fax Number : 503-588-6202
Authorized Official
Title or Position : ASSISTANT CHIEF OF BUSINESS OPERATI
Name : BRIAN L CARRARA
Credential :
Telephone Number : 503-932-5785
Provider Enumeration Date : 05/27/2005
Last Update Date : 12/12/2025

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Directions to “CITY OF SALEM ” Practice Location

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